Tennis is a sport characterized by high physical demands and complex biomechanical movements, leading to specific patterns of injuries. This article reviews the epidemiology, biomechanics, and radiologic features of injuries related to tennis, focusing on the musculoskeletal system (extremities, trunk, and spine). Injury mechanisms are closely linked to the dynamics of the kinetic chain and the repetitive motions intrinsic to the sport. Imaging techniques, such as radiography, ultrasound, computed tomography, and magnetic resonance imaging, play a crucial role in evaluating acute and overuse injuries. Understanding tennis's technical and biomechanical aspects is essential for radiologists to make accurate diagnoses and assist the multidisciplinary team in guiding patient treatment for a safe return to the sport.